Individual ProviderMarisol BalistreriNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1201 S Orange Ave, El Cajon, CA 92020-7521(619) 441-1918(888) 660-4425PECOS EnrollmentBased on the most recent information from CMS, provider Marisol Balistreri is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1649608324Provider TypeIndividualFull NameBalistreri, MarisolTitleMs.CredentialNPGenderFemaleSole ProprietorNoEnumeration Date10/16/2013Last Updated11/24/2017Contact InformationPractice LocationPractice Address1201 S Orange Ave, El Cajon, CA 92020-7521Phone(619) 441-1918Fax(619) 441-7416Mailing LocationMailing Address332 S Michigan Ave Ste 1100, Chicago, IL 60604-4416Phone(888) 660-4425FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense23462California